{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,18]],"date-time":"2026-10-18T18:42:40Z","timestamp":1792348960421,"version":"4.4.0"},"reference-count":47,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T00:00:00Z","timestamp":1792022400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T00:00:00Z","timestamp":1792022400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Aust N Z J Psychiatry"],"abstract":"<jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>To describe lung cancer incidence, stage and post-diagnosis mortality in people accessing mental health services, focusing on people aged 50\u201370 targeted by Australia\u2019s new lung cancer screening programme.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>Linkage to the New South Wales Cancer Registry identified 39,680 lung cancer notifications from 2011 to 2020. Mental health services contact was defined as public mental health hospital or community care in the 5 years before cancer diagnosis. Measures include the following: (1) incidence standardised for age, sex and disadvantage; (2) odds of metastatic disease at diagnosis, using binary logistic regression; and (3) risk of 12-month post-diagnosis mortality using Cox regression adjusted for age, sex, disadvantage and metastatic disease.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>People accessing mental health services were younger at diagnosis, had higher lung cancer incidence (adjusted incidence rate ratio\u2009=\u20091.54, 95% confidence interval\u2009=\u20091.47\u20131.61), risk of metastatic disease (odds ratio\u2009=\u20091.14, 95% confidence interval\u2009=\u20091.03\u20131.26), 12-month all-cause mortality (hazard ratio\u2009=\u20091.57, 95% confidence interval\u2009=\u20091.49\u20131.67) and shorter median survival time (mental health: 121\u2009days; other New South Wales residents: 211\u2009days). In the screening-age range, people accessing mental health services had twice the lung cancer incidence (adjusted incidence rate ratio\u2009=\u20092.05, 95% confidence interval\u2009=\u20091.92\u20132.18) and elevated 12-month mortality (hazard ratio\u2009=\u20091.54, 95% confidence interval\u2009=\u20091.41\u20131.68). Risks were equally increased in people with non-psychotic disorders and brief care.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>People accessing mental health services in the target age range for lung screening have doubled lung cancer incidence, greater risk of metastatic disease and higher 12-month mortality. Screening should take a broad, transdiagnostic approach, and not be limited to people with diagnoses of schizophrenia or bipolar disorder. Supporting participation in emerging lung screening programmes should be a priority.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/00048674261493339","type":"journal-article","created":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T09:26:22Z","timestamp":1792056382000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Lung cancer incidence, metastatic disease and mortality in people accessing mental health services: Opportunities for screening"],"prefix":"10.1177","author":[{"given":"Daniel","family":"Forrest","sequence":"first","affiliation":[{"name":"System Information and Analytics Branch, NSW Ministry of Health, St Leonards, Australia"},{"name":"South Eastern Sydney Local Health District, Randwick, NSW, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicola","family":"Creighton","sequence":"additional","affiliation":[{"name":"Cancer Institute NSW, Sydney, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7184-0363","authenticated-orcid":false,"given":"Philip","family":"Burgess","sequence":"additional","affiliation":[{"name":"School of Public Health, The University of Queensland, Brisbane, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jane","family":"Hager","sequence":"additional","affiliation":[{"name":"System Information and Analytics Branch, NSW Ministry of Health, St Leonards, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jackie","family":"Curtis","sequence":"additional","affiliation":[{"name":"Discipline of Psychiatry, Faculty of Medicine and Health, University of New South Wales, Randwick, NSW, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tracey","family":"O\u2019Brien","sequence":"additional","affiliation":[{"name":"Cancer Institute NSW, Sydney, Australia"},{"name":"Medicine &amp; Science, University of New South Wales, Sydney, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3762-1711","authenticated-orcid":false,"given":"Grant","family":"Sara","sequence":"additional","affiliation":[{"name":"System Information and Analytics Branch, NSW Ministry of Health, St Leonards, Australia"},{"name":"Discipline of Psychiatry, Faculty of Medicine and Health, University of New South Wales, Randwick, NSW, Australia"},{"name":"Northern Clinical School, Faculty of Medicine and Health, The University of Sydney, St Leonards, NSW, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,10,15]]},"reference":[{"key":"e_1_3_4_2_1","doi-asserted-by":"publisher","DOI":"10.1080\/15504263.2020.1802542"},{"key":"e_1_3_4_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejca.2019.06.018"},{"key":"e_1_3_4_4_1","unstructured":"Australian Bureau of Statistics (2018) 2033.0.55.001 \u2013 Census of population and housing: Socio-Economic Indexes for Areas (SEIFA) Australia 2016. Available at: https:\/\/www.abs.gov.au\/ausstats\/abs@.nsf\/mf\/2033.0.55.001 (accessed 30 July 2021)."},{"key":"e_1_3_4_5_1","unstructured":"Australian Institute of Health and Welfare (2025) Alcohol tobacco & other drugs in Australia: People with mental illness. Available at: https:\/\/www.aihw.gov.au\/reports\/alcohol\/alcohol-tobacco-other-drugs-australia\/contents\/priority-populations\/people-with-mental-health-conditions (accessed 28 September 2025)."},{"key":"e_1_3_4_6_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2025.19780"},{"key":"e_1_3_4_7_1","doi-asserted-by":"publisher","DOI":"10.1080\/07347332.2020.1780364"},{"key":"e_1_3_4_8_1","volume-title":"Optimal Care Pathway for People with Lung Cancer","author":"Cancer Council Victoria and Department of Health Victoria","year":"2021","unstructured":"Cancer Council Victoria and Department of Health Victoria (2021) Optimal Care Pathway for People with Lung Cancer. 2nd ed. Cancer Council Victoria.","edition":"2"},{"key":"e_1_3_4_9_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12913-016-1505-4"},{"key":"e_1_3_4_10_1","doi-asserted-by":"publisher","DOI":"10.1177\/0004867412449876"},{"key":"e_1_3_4_11_1","doi-asserted-by":"publisher","DOI":"10.1177\/00048674241238958"},{"key":"e_1_3_4_12_1","doi-asserted-by":"publisher","DOI":"10.1071\/HC23015"},{"key":"e_1_3_4_13_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12885-024-12292-9"},{"key":"e_1_3_4_14_1","doi-asserted-by":"publisher","DOI":"10.1177\/15248380221120836"},{"key":"e_1_3_4_15_1","unstructured":"Department of Health Disability and Ageing (2026) National Lung Cancer Screening Program. Available at: https:\/\/www.health.gov.au\/our-work\/nlcsp (accessed 22 March 2026)."},{"key":"e_1_3_4_16_1","doi-asserted-by":"publisher","DOI":"10.1002\/ijc.35278"},{"key":"e_1_3_4_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2215-0366(19)30132-4"},{"key":"e_1_3_4_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacr.2018.12.045"},{"key":"e_1_3_4_19_1","doi-asserted-by":"publisher","DOI":"10.1177\/00048674231217415"},{"key":"e_1_3_4_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.chest.2025.01.020"},{"key":"e_1_3_4_21_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamapsychiatry.2013.278"},{"key":"e_1_3_4_22_1","doi-asserted-by":"publisher","DOI":"10.1177\/0004867415577979"},{"key":"e_1_3_4_23_1","doi-asserted-by":"publisher","DOI":"10.5694\/mja2.52521"},{"key":"e_1_3_4_24_1","doi-asserted-by":"crossref","unstructured":"Lambeth C Burgess P Curtis J et al. (2023) Breast cancer screening participation in women using mental health services in NSW Australia: A population study. Social Psychiatry and Psychiatric Epidemiology 59(5): 839\u2013846. https:\/\/doi.org\/10.1007\/s00127-023-02509-w","DOI":"10.1007\/s00127-023-02509-w"},{"key":"e_1_3_4_25_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2458-9-285"},{"key":"e_1_3_4_26_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.schres.2017.08.065"},{"key":"e_1_3_4_27_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12885-025-14589-9"},{"key":"e_1_3_4_28_1","unstructured":"Lung Cancer Canada (2026) Lung cancer screening. Available at: https:\/\/lungcancercanada.ca\/about-lung-cancer\/lung-cancer-screening\/"},{"key":"e_1_3_4_29_1","unstructured":"NHS England (2026) Lung cancer screening. Available at: https:\/\/www.nhs.uk\/tests-and-treatments\/lung-cancer-screening\/ (accessed 22 March 2026)."},{"key":"e_1_3_4_30_1","doi-asserted-by":"publisher","DOI":"10.1097\/YCO.0000000000000697"},{"key":"e_1_3_4_31_1","doi-asserted-by":"publisher","DOI":"10.1002\/cam4.1297"},{"key":"e_1_3_4_32_1","doi-asserted-by":"publisher","DOI":"10.1017\/S204579602000044X"},{"key":"e_1_3_4_33_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.genhosppsych.2025.04.004"},{"key":"e_1_3_4_34_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(19)32316-5"},{"key":"e_1_3_4_35_1","doi-asserted-by":"publisher","DOI":"10.1017\/S2045796022000634"},{"key":"e_1_3_4_36_1","doi-asserted-by":"publisher","DOI":"10.21037\/tlcr.2019.03.09"},{"key":"e_1_3_4_37_1","doi-asserted-by":"crossref","unstructured":"Samar\u017eija M Krpina K Maru\u0161i\u0107 A et al. (2025) Design of the first National Lung Cancer Screening Program in the European Union: The Croatian model. European Radiology 36: 4090\u20134097. https:\/\/doi.org\/10.1007\/s00330-025-12185-w","DOI":"10.1007\/s00330-025-12185-w"},{"key":"e_1_3_4_38_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2019-033588"},{"key":"e_1_3_4_39_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2215-0366(19)30414-6"},{"key":"e_1_3_4_40_1","doi-asserted-by":"publisher","DOI":"10.21037\/jtd-2024-1950"},{"key":"e_1_3_4_41_1","doi-asserted-by":"publisher","DOI":"10.1002\/pon.6274"},{"key":"e_1_3_4_42_1","unstructured":"US Preventive Services Task Force (USPSTF) (2021) Lung cancer: Screening. Available at: https:\/\/www.uspreventiveservicestaskforce.org\/uspstf\/recommendation\/lung-cancer-screening (accessed 22 March 2026)."},{"key":"e_1_3_4_43_1","doi-asserted-by":"crossref","unstructured":"Vasakova MK Hejduk K Kocova E et al. (2025) Experience with lung cancer screening in the Czech Republic: Half-time of the National pilot programme. American Journal of Respiratory and Critical Care Medicine 211(Suppl. 1): A5215.","DOI":"10.1164\/ajrccm.2025.211.Abstracts.A5215"},{"key":"e_1_3_4_44_1","doi-asserted-by":"publisher","DOI":"10.1071\/PU24004"},{"key":"e_1_3_4_45_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.canep.2022.102233"},{"key":"e_1_3_4_46_1","doi-asserted-by":"publisher","DOI":"10.1200\/JCO.2024.42.16_suppl.8009"},{"key":"e_1_3_4_47_1","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.2019.23"},{"key":"e_1_3_4_48_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyt.2020.00648"}],"container-title":["Australian &amp; New Zealand Journal of Psychiatry"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/00048674261493339","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/00048674261493339","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/00048674261493339","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,18]],"date-time":"2026-10-18T17:49:16Z","timestamp":1792345756000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/00048674261493339"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,10,15]]},"references-count":47,"alternative-id":["10.1177\/00048674261493339"],"URL":"https:\/\/doi.org\/10.1177\/00048674261493339","relation":{},"ISSN":["0004-8674","1440-1614"],"issn-type":[{"value":"0004-8674","type":"print"},{"value":"1440-1614","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,10,15]]},"article-number":"00048674261493339"}}